| NPI | 1982336400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOFOR JAMES KALVIG President/CEO 515-570-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-02-13 |